Organization · Type 2 NPI
Individualized Medicine, LLC
Primary Care Clinic/Center · Palatka, FL
NPI number
1962701722
Active
Practice location
6100 Saint Johns Ave, Suite 4(D)
Palatka, FL 32177-3844
Fax (386) 329-8990
Mailing address
PO Box 100
Elkton, FL 32033-0100
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1962701722
Individualized Medicine, LLC's National Provider Identifier is 1962701722, issued on Mar 19, 2011. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Palatka, FL. The record was last updated on Mar 26, 2012.